Repeated study of atherosclerosis epidemiology is performed in 5 European cities (Malme, Prague, Riga, Tallinn, Yalta) according to WHO recommendations 20 years after a similar study in the same regions. More frequent and more pronounced development of atherosclerosis in males of 20-39 years of age is found in the present study in 3 big cities (Prague, Riga, Tallinn) as compared to the population of small cities Malme and Yalta. The rejuvenation of atherosclerosis can not be explained by an ecological situation as in females atherosclerosis was most pronounced in Malme. Possible reasons of the evolution of atherosclerosis is discussed.
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